Employer Career Fair Registration Form

2013 Spring Career Fair

Thursday - 03/28/2013

ALL MAJORS - All Business, Education, Liberal Arts, Engineering & Computer Science
Fairlane Center/North
11:00 a.m. - 2:00 p.m. Set-up for Employers begins @ 10:00 a.m.

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Company Information

Company Name*

Phone*

Address*

City*

State*

Zip Code*

Fax Number

Website*

Contacts E-mail Address*

Attendee 1

Attendee Name*

Attendee E-mail*

UM-Dearborn Alumni*

Will attendee 1 need a lunch*

Attendee 2

Attendee 2 Name

Attendee 2 E-mail

UM-Dearborn Alumni (Attendee 2)

Will attendee 2 need a lunch*

Attendee 3

Attendee 3 Name

Attendee 3 E-mail

UM-Dearborn Alumni (attendee 3)

Will attendee 1 need a lunch*

Attendee 4

Attendee 4 Name

Attendee 4 E-mail

UM-Dearborn Alumni (Attendee 4)

Will attendee 4 need a lunch*

Contact List Information

The following information will be distributed to Students/Alumni

List contact name if different from attending representatives:

Type of Industry/Services

Position(s) Available

Major(s) Preferred

Projected Opportunities for:*

Payment Information

Payment Method*

If paying by check:

Make checks payable to University of Michigan-Dearborn

Mail to:
Mai Qazzaz, Event Coordinator/Career Services
University of Michigan-Dearborn
4901 Evergreen Road, 2149 UC
Dearborn, MI 48128